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Castro A, Roca M, Ricci-Cabello I, et al. Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021;18(24)doi: 10.3390/ijerph182413268.
Castro, A., Roca, M., Ricci-Cabello, I., García-Toro, M., Riera-Serra, P., Coronado-Simsic, V., Pérez-Ara, M. �. �., & Gili, M. (2021). Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 18(24), . https://doi.org/10.3390/ijerph182413268
Castro, Adoración, et al. "Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis." International journal of environmental research and public health vol. 18,24 (2021). doi: https://doi.org/10.3390/ijerph182413268
Castro A, Roca M, Ricci-Cabello I, García-Toro M, Riera-Serra P, Coronado-Simsic V, Pérez-Ara MÁ, Gili M. Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021 Dec 16;18(24). doi: 10.3390/ijerph182413268. PMID: 34948874.
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Int J Environ Res Public Health. 2021 Dec 16;18(24). doi: 10.3390/ijerph182413268.

Adherence to Lifestyle Interventions for Treatment of Adults with Depression: A Systematic Review and Meta-Analysis.

International journal of environmental research and public health

Adoración Castro, Miquel Roca, Ignacio Ricci-Cabello, Mauro García-Toro, Pau Riera-Serra, Victoria Coronado-Simsic, María Ángeles Pérez-Ara, Margalida Gili

Affiliations

  1. Health Research Institute of the Balearic Islands (IdiSBa), Hospital Universitario Son Espases, Edificio S, 07120 Palma de Mallorca, Spain.
  2. Research Institute of Health Sciences (IUNICS), University of Balearic Islands, 07122 Palma de Mallorca, Spain.
  3. Primary Care Prevention and Health Promotion Research Network (RedIAPP), 28029 Madrid, Spain.
  4. Primary Care Research Unit of Mallorca, Balearic Islands Health Services, 07002 Palma, Spain.
  5. CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.

PMID: 34948874 DOI: 10.3390/ijerph182413268

Abstract

The aim of this systematic review was to determine the adherence to lifestyle interventions for adults with depression and to estimate the dropout rates in trials examining the impact of these interventions. A bibliographic search was conducted in PubMed, Embase, PsycINFO, the Cochrane library, and several sources of grey literature. We included randomised controlled trials examining the impact of multiple lifestyle interventions on depressive symptomatology in adults when compared to control or other active treatments. Two reviewers independently screened citations, extracted the relevant data, and assessed the risk of bias using Cochrane tools. A random effects meta-analysis of proportions was used to summarise the proportion of participants who completed the intervention and to determine the proportion of dropouts at post-treatment assessment. Multiple subgroup analyses were also carried out. We identified six trials. The meta-analysis of proportions showed that 53% (95%CI 49% to 58%) of the participants assigned to the intervention group fully adhered to the intervention program. The weighted mean proportion of completed intervention sessions was 66%. The pooled trial dropout rate was 22% (95%CI 20% to 24%). Around half of adults with depression adhere to lifestyle interventions. Future research is needed to develop interventions to support adherence to lifestyle interventions in depressive patients.

Keywords: depression; interventions; lifestyle; meta-analysis; review

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